Sign UpLogin With Facebook
Sign UpLogin With Google

Free Alcohol and Drug Abuse Survey

50+ Expert Crafted Alcohol and Drug Abuse Survey Questions

Measuring alcohol and drug abuse matters because it reveals usage patterns and risk factors that drive smarter prevention and treatment strategies. An alcohol and drug abuse survey is a structured questionnaire designed to gather candid feedback on substance use, behavior triggers, and support needs - data that powers meaningful change. Grab our free template of alcohol and drug abuse survey questions, preloaded with ready-to-go examples, or customize your own using our form builder.

How often do you consume alcoholic beverages?
Never
Monthly or less
2-4 times a month
2-3 times a week
4 or more times a week
How often do you use recreational drugs (e.g., marijuana, stimulants, prescription drugs for non-medical use)?
Never
Monthly or less
2-4 times a month
2-3 times a week
4 or more times a week
I feel that my alcohol or drug use negatively impacts my daily life (work, relationships, or health).
1
2
3
4
5
Strongly disagreeStrongly agree
I feel I have control over my alcohol or drug use.
1
2
3
4
5
Strongly disagreeStrongly agree
Have you ever sought professional help or support for alcohol or drug use?
Yes
No
What additional support or resources would you find most helpful in addressing alcohol or drug-related issues?
What is your age range?
Under 18
18-24
25-34
35-44
45-54
55-64
65 or older
What is your gender?
Male
Female
Non-binary
Prefer not to say
Other
Which of the following best describes your current employment status?
Employed full-time
Employed part-time
Unemployed
Student
Retired
Other
{"name":"How often do you consume alcoholic beverages?", "url":"https://www.quiz-maker.com/QPREVIEW","txt":"How often do you consume alcoholic beverages?, How often do you use recreational drugs (e.g., marijuana, stimulants, prescription drugs for non-medical use)?, I feel that my alcohol or drug use negatively impacts my daily life (work, relationships, or health).","img":"https://www.quiz-maker.com/3012/images/ogquiz.png"}

Trusted by 5000+ Brands

Logos of Poll Maker Customers

Top Secrets Behind a Powerful Alcohol and Drug Abuse Survey

Conducting an alcohol and drug abuse survey matters more than ever. It sheds light on hidden patterns and unmet needs. Strong data helps healthcare providers and policymakers. You get real feedback directly from respondents.

Begin with a clear goal and defined audience. Ask, "What do you need to learn?" and match questions to that aim. In some cases, teams turn to established templates like our American Drug and Alcohol Survey for structure. That jumpstarts your planning.

Respect privacy and anonymity from the start. Stress confidentiality in your introduction. Respondents open up when they trust you. Use secure tools or poll software that meets data-protection standards.

Imagine a college health center rolling out a brief survey after orientation. They ask about stress, peer pressure, and access to support. Within a week, they gather 200 responses. This snapshot guides workshop topics.

Craft focused questions like "How often do you consume alcohol in a week?" and "What triggers your drug use, if any?" Clear, direct phrasing boosts completion rates. Limit jargon and aim for empathy. Clean layouts reduce drop-offs.

For benchmark data, compare your findings to federal studies like the National Survey on Drug Use and Health, which interviews 70,000 Americans yearly. Or use the Addiction Severity Index for in-depth diagnostics. These sources build credibility.

Once responses arrive, analyze trends by age, location, or risk factors. Visualization tools bring patterns into focus. Highlight key insights in executive summaries. Then share results with stakeholders promptly.

A well-structured alcohol and drug abuse survey delivers hard data and human stories. When you follow these steps, you gain clarity and actionable next steps. Your survey becomes a catalyst for real support. Start refining your template today.

Artistic 3D voxel illustration of a substance use and addiction survey
Artistic 3D voxel representation of a drug and alcohol behavior poll

5 Must-Know Tips to Dodge Common Alcohol and Drug Abuse Survey Blunders

Mistakes can sink your alcohol and drug abuse survey before you start. Even small design flaws distort data and waste resources. Respondents lose trust with confusing wording. Below are essential missteps to dodge.

First, avoid vague or double-barreled questions like "Do you feel safe using substances and seeking help?" You either get unclear feedback or frustrated drop-offs. Instead, break complex items into single concepts. That boosts clarity.

Skipping confidentiality statements hurts response rates. If participants doubt privacy, they won't answer honestly. Always open with a short note on anonymity. A clear intro fosters trust.

Misusing skip logic often leaves participants stranded on irrelevant sections. Map your flow chart carefully and test paths before launch. Draw inspiration from quick screens like the CAGE Questionnaire. Its four crisp items guide basic screening without overwhelming respondents.

Confusing rating scales send mixed signals. Label each point clearly on a 5-point Likert or visual slider. Ask "How satisfied are you with your support resources?" instead of generic terms. Precise scales power reliable analysis.

Failing to pilot-test your draft steals insights. A small NGO ran a test of 20 local volunteers and uncovered misread questions. That minor tweak saved them from scrapping 150 responses. Never skip this step.

Relying solely on open-ended items can leave you drowning in text. Balance them with concise choices. You might ask "Have you ever felt guilty about your drinking habits?" then follow with "Please explain briefly." This combo keeps data structured yet rich.

By sidestepping these blunders, your alcohol and drug abuse survey earns respect and yields clean data. Compare your results with national trends in Monitoring the Future to benchmark your findings. Ready to refine your approach? Check out our Substance Abuse Survey for a jump-start.

Alcohol Use Assessment Questions

This section focuses on drinking frequency and patterns to understand respondent alcohol consumption over time. Gathering this information helps identify at-risk behaviors and plan targeted interventions. For benchmark data, see the Alcohol Consumption Survey .

  1. How often have you consumed alcoholic beverages in the past 30 days?

    This question assesses recent drinking frequency, which is key to identifying potential risk levels.

  2. On average, how many drinks do you consume per drinking occasion?

    Determining quantity per occasion helps evaluate binge drinking tendencies.

  3. How many times have you had five or more drinks in a single sitting in the last month?

    Captures instances of heavy episodic drinking to assess potential harm.

  4. Have you ever felt you should cut down on your drinking?

    Assesses self-awareness of problematic behavior, a common screening indicator.

  5. How often do you find it difficult to stop drinking once you have started?

    Evaluates loss of control, a hallmark of alcohol use disorder.

  6. How frequently do you drink to cope with stress or negative emotions?

    Identifies coping-motivated drinking, which correlates with higher dependency.

  7. Has your drinking ever interfered with work, school, or personal responsibilities?

    Assesses real-life impact and functional impairment from alcohol use.

  8. Have friends or family members expressed concern about your drinking habits?

    External feedback can signal denial or severity of the issue.

  9. Do you experience withdrawal symptoms (e.g., shaking, sweating) when you stop drinking?

    Withdrawal symptoms indicate physical dependence and risk level.

  10. Have you ever driven or operated machinery after drinking alcohol?

    Addresses risky behaviors that increase accident and injury risk.

Drug Use Screening Questions

This category examines patterns of illicit and prescription drug use to screen for potential misuse. It guides early intervention and resource allocation by highlighting usage trends. For broader context, refer to the Substance Use Survey .

  1. In the past year, how many times have you used any recreational or illicit drugs?

    This captures overall lifetime variability and recent use frequency.

  2. Which types of drugs have you used in the last six months (e.g., cannabis, cocaine, amphetamines)?

    Identifies specific substances to tailor prevention and treatment.

  3. How often do you use drugs in social settings versus alone?

    Differentiates between social experimentation and problematic solitary use.

  4. Have you ever felt the need to cut back on your drug use?

    Self-perceived need for reduction indicates recognition of problematic patterns.

  5. How frequently do you experience cravings for non-prescribed drugs?

    Measures intensity of urge, linked to relapse risk.

  6. Have you ever used drugs to feel more confident or outgoing?

    Assesses substance use as a social crutch and potential dependency driver.

  7. Do you combine multiple substances (e.g., alcohol and stimulants) in one session?

    Polysubstance use increases health risks and complicates treatment.

  8. Have you ever missed work, school, or obligations due to drug use?

    Evaluates functional impairment and real-life consequences.

  9. Have you experienced any health issues you believe are related to your drug use?

    Assesses physical or mental health impact from substance use.

  10. Do you find it hard to stop using once you start?

    Evaluates control loss, a core addiction criterion.

Prescription Drug Misuse Questions

This set explores non-medical use of prescription medications and associated behaviors. Properly identifying misuse aids in designing educational and medical interventions. For specialized items, see the Prescription Drug Abuse Survey .

  1. Have you taken prescription medication in a way other than prescribed (e.g., higher dose, more often)?

    Highlights deviation from medical guidance, a misuse indicator.

  2. In the past year, how often have you used prescription drugs without a prescription?

    Assesses non-medical procurement and consumption patterns.

  3. Which prescription drug categories have you misused (e.g., opioids, benzodiazepines)?

    Identifies specific medication classes for risk stratification.

  4. Do you use prescription medications to enhance mood, energy, or focus?

    Assesses self-medication motives linked to dependency.

  5. Have you ever shared your prescription drugs with others?

    Captures diversion behaviors that contribute to broader misuse.

  6. Have you ever obtained prescription medications from non-medical sources?

    Identifies access channels outside legitimate healthcare settings.

  7. Do you experience withdrawal-like symptoms if you skip a dose?

    Assesses physical dependence and severity of misuse.

  8. Have you ever mixed prescription drugs with alcohol or other substances?

    Combination use elevates overdose and adverse reaction risks.

  9. Have healthcare providers ever expressed concern about your prescription use?

    Professional feedback indicates recognized misuse severity.

  10. Do you feel guilty or ashamed after misusing prescription medications?

    Assesses emotional response that may influence readiness for change.

Combined Substance Abuse Questions

This section examines concurrent use of alcohol, illicit, and prescription drugs to assess overall abuse patterns. Understanding combined behaviors helps in risk profiling and treatment planning. For additional resources, see our Substance Use Survey Questions .

  1. How often do you use alcohol and drugs within the same 24-hour period?

    Assesses co-use frequency, a factor in heightened health risks.

  2. Which combinations of substances do you frequently use together?

    Identifies specific polydrug patterns for targeted intervention.

  3. Have you experienced blackouts or memory loss after using multiple substances?

    Assesses severe impairment linked to overdose risk.

  4. Do you plan your substance use episodes in advance?

    Indicates organized misuse versus spontaneous recreation.

  5. How often do you mix substances to enhance the effects?

    Captures intentional polydrug enhancement behaviors.

  6. Have you ever sought medical help after combining alcohol with other drugs?

    Identifies acute health incidents requiring professional care.

  7. Do you find it difficult to predict your reaction when mixing substances?

    Assesses unpredictability and potential danger of co-use.

  8. Have you ever experienced a near overdose while using multiple substances?

    Evaluates extreme risk events critical for intervention planning.

  9. Do you use substances to cope with withdrawal symptoms from another drug?

    Assesses self-medication in polydrug contexts and escalation risk.

  10. Have you noticed changes in your behavior when combining substances?

    Evaluates cognitive and personality shifts indicative of abuse severity.

Substance Awareness and Prevention Questions

This category measures knowledge, attitudes, and prevention behaviors related to drug and alcohol use. Insights guide educational programs and community outreach. For more in-depth items, refer to the Drug Awareness Survey .

  1. How informed are you about the health risks associated with alcohol abuse?

    Assesses baseline knowledge to tailor health education.

  2. Have you ever participated in substance abuse prevention programs?

    Measures prior engagement to evaluate program reach.

  3. How confident are you in refusing drugs or alcohol when offered?

    Evaluates self-efficacy, a predictor of resistance to peer pressure.

  4. Do you know where to find help if you or someone you know has a substance problem?

    Assesses awareness of support resources and referral networks.

  5. How much do you trust public health messages about drug and alcohol risks?

    Gauges credibility of prevention campaigns.

  6. Have you seen or used any mobile apps or hotlines for substance support?

    Assesses digital engagement with prevention and recovery tools.

  7. Do you believe substance use is a community-wide issue?

    Measures perceived social impact to support community initiatives.

  8. How often do you discuss substance use topics with friends or family?

    Assesses communication channels that influence attitudes.

  9. Have you received formal training on overdose response (e.g., naloxone)?

    Evaluates preparedness to handle acute drug emergencies.

  10. Do you support policies restricting access to addictive substances?

    Measures community support for regulatory prevention measures.

Behavioral Impact Assessment Questions

This section examines the social, emotional, and legal consequences of substance use on daily life. Identifying these impacts directs appropriate support services. For related measures, explore our Drug Addiction Survey .

  1. Have you experienced legal issues (e.g., arrests) related to substance use?

    Assesses involvement with the criminal justice system due to abuse.

  2. How often does substance use affect your relationships with family or friends?

    Evaluates interpersonal consequences of habitual use.

  3. Have you ever lost a job or academic opportunity because of substance use?

    Measures major life disruptions from addictive behaviors.

  4. Do you feel more anxious or depressed on days when you use substances?

    Assesses emotional regulation and co-occurring mental health issues.

  5. Have you ever neglected personal hygiene or appearance while using?

    Indicates self-care decline, a sign of severe misuse.

  6. How often do you spend money on substances you cannot afford?

    Assesses financial harm and risk of debt from use.

  7. Do you miss social activities because of hangovers or recovery time?

    Evaluates social withdrawal linked to substance use patterns.

  8. Have you experienced memory or concentration problems you attribute to substance use?

    Assesses cognitive impairment from chronic consumption.

  9. Do you use substances as a reward or to celebrate events?

    Identifies celebratory binge patterns that may escalate.

  10. Have you ever felt guilty about the amount of time you spend obtaining or using substances?

    Evaluates emotional burden and readiness to change behavior.

FAQ

What are the most effective questions to include in a drug and alcohol abuse survey?

Effective questions include demographic screening, substance type, initial use age, frequency, quantity, reasons, and consequences to measure patterns. Use multiple-choice and open-ended example questions in your survey template for clarity. Offering a free survey sample helps drive participation and ensures you capture the most effective data on drug and alcohol abuse.

How can I assess the impact of substance use on an individual's physical and mental health through survey questions?

Assess physical and mental health impacts by asking about sleep patterns, appetite changes, mood swings, medical visits, and self-rated well-being. Use Likert scales and validated example questions in your survey template to quantify health effects. A free survey format with targeted templates ensures accurate tracking of substance-related physical and mental health outcomes.

What questions should I ask to understand the social consequences of alcohol and drug use?

Ask about relationship conflicts, work or school issues, legal troubles, and social isolation to gauge social consequences. Include multiple-choice rating scales and open-ended example questions in your survey template. Offering a free survey approach ensures you measure social impacts effectively and capture meaningful data on alcohol and drug use effects.

How do I design survey questions to evaluate the frequency and quantity of alcohol and drug consumption?

Evaluate consumption frequency and quantity by using standardized units and clear timeframes like daily, weekly, or monthly. Include example questions such as "How many standard drinks?" with dropdowns or checklists in your survey template. A free survey design ensures accurate tracking of alcohol and drug intake patterns.

What are the key indicators of problematic substance use that should be addressed in a survey?

Key indicators of problematic substance use include tolerance, withdrawal symptoms, cravings, loss of control, neglecting responsibilities, and risky behaviors. Integrate validated tools like CAGE or AUDIT with example questions in your survey template. Providing a free survey template helps identify red flags and measure severity efficiently.

How can I incorporate questions about the age of first use in a drug and alcohol abuse survey?

Incorporate age of first use by asking: "At what age did you first try alcohol or drugs?" Offer age ranges or fill-in-the-blank options. Include these example questions in your survey template. A free survey format enables you to analyze onset age trends and adjust intervention strategies effectively.

What survey questions can help identify co-occurring mental health issues in individuals with substance use disorders?

Identify co-occurring mental health issues by including screening items for anxiety, depression, PTSD, and other disorders. Use validated example questions like PHQ-9 or GAD-7 scales in your survey template. A free survey approach helps you detect dual diagnosis, enabling targeted support for individuals with substance use disorders.

How do I frame questions to assess the impact of substance use on daily functioning, such as work or school performance?

Frame daily functioning impacts by asking: "To what extent has substance use affected your work or school performance?" Include Likert scales from "Not at all" to "Extremely" and an open-ended follow-up. Integrate these example questions in your survey template for a free survey that measures functional impairments.

What are the best practices for asking about the methods of obtaining alcohol and drugs in a survey?

Follow best practices by offering anonymous multiple-choice options for obtaining substances: purchase outlets, social sources, online vendors, or sharing. Include an "Other" field for uncommon methods. Incorporate these example questions in your survey template to ensure candid responses in a free survey about methods of obtaining alcohol and drugs.

How can I include questions that explore the reasons behind an individual's substance use in a survey?

Explore motivations by asking participants to select reasons like stress relief, socializing, pain management, or curiosity. Use check-all-that-apply and an open-text option for personalized insights. Include these example questions in your survey template. A free survey helps reveal underlying reasons for substance use, guiding effective interventions.